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General NPI Number Information
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NPI Number | 1205100740
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Entity Type | Organization
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Legal Business Name | FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 29645 RANCHO CALIFORNIA RD STE 237
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City | TEMECULA
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State | CA
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Zip | 92591-5285
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Country | US
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Telephone | 951-695-5471
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Fax | 909-495-1302
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Provider Business Mailing Address
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Address Line | PO BOX 10818
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City | SAN BERNARDINO
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State | CA
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Zip | 92423-0818
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Country | US
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Telephone | 909-382-0201
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Fax | 909-495-1321
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRVING M. FELDKAMP IV IV
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Credential | MD
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Telephone | 909-382-0201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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